Organization
CARELOCK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN S. GILLIAM MD (MEDICAL DIRECTOR)
(928) 772-1673
Entity
Organization
Contact information
Practice address
2920 E MOHAWK LN STE 101, PHOENIX, AZ 85050-4773
(480) 681-3450
(800) 960-4547
Mailing address
15029 N THOMPSON PEAK PKWY # B111-438, SCOTTSDALE, AZ 85260-2217
(480) 681-3450
(800) 960-4547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388615
—
AZ
05
—
600874
—
AZ
Enumeration date
02/01/2019
Last updated
09/17/2025
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